Provider Demographics
NPI:1578896510
Name:CARING HEAVENLY HANDS
Entity Type:Organization
Organization Name:CARING HEAVENLY HANDS
Other - Org Name:COMFORCARE SENIOR SERVICE-DUPAGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF TRAINING AND OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:LATRICE
Authorized Official - Last Name:SHEARS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-665-1615
Mailing Address - Street 1:381 S MAIN PL
Mailing Address - Street 2:
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60188-2452
Mailing Address - Country:US
Mailing Address - Phone:630-665-1615
Mailing Address - Fax:630-665-1625
Practice Address - Street 1:381 S MAIN PL
Practice Address - Street 2:
Practice Address - City:CAROL STREAM
Practice Address - State:IL
Practice Address - Zip Code:60188-2452
Practice Address - Country:US
Practice Address - Phone:630-665-1615
Practice Address - Fax:630-665-1625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-09
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3000564253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care